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General NPI Number Information
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NPI Number | 1164667408
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Entity Type | Organization
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Legal Business Name | OP THERAPY, LLC
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 7760 KOCHVILLE RD
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City | FREELAND
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State | MI
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Zip | 48623-8655
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Country | US
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Telephone | 517-695-6626
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Fax | 517-695-6873
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Provider Business Mailing Address
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Address Line | 7760 KOCHVILLE RD
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City | FREELAND
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State | MI
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Zip | 48623-8655
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Country | US
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Telephone | 517-695-6626
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Fax | 517-695-6873
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN COOKE
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Credential |
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Telephone | 800-950-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246X00000X
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Taxonomy Name | Cardiovascular Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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